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Law Office of Robert Mansour

Library Articles

The presumptive insurance adjuster who has evaluated the case before you've even presented it!

5/9/2013

 
I admit this is a bit of a rant.  I recently took on a case where the impact was relatively minor at first glance.  It's not my favorite kind of case to handle because the damage is not very visible and in most cases, it's hard to convince an insurance adjuster of injury in low-impact cases.  However, in some cases I might take such a case if the client is compelling, believable, and truly injured.  

Although there are plenty of scientific studies supporting the fact that folks can get injured in lower speed accidents, some insurance adjusters still employ the knee-jerk reaction that little property damage necessarily means little to no injury.  There is an adjuster I'm dealing with right now who keeps sending me letters on this particular case.  From "Day One," his letters basically read as follows, "We consider this a low impact case and expect your client's injuries to be minor. Please send us your client's medical records when she's finished treating."  Then another letter came last week that stated, "This is a minor accident.  Both cars did not have much damage. Your client should be done with her treatment by now...."  

As you can see, this adjuster has already made up his mind and by "implying" it in his letters, he basically wants me to adopt his framework for the case.  While I agree that low impact car accidents present some challenges when convincing others of injury, I have been a bit surprised about how presumptive this adjuster has been.  He has already concluded my client should have no injury without talking to her, without seeing her records, without knowing anything about her.  He took one part of the puzzle (the low property damage), and he extrapolated a complete "analysis" that precludes the notion someone could be injured. 

Truth is I'm not terribly surprised because insurance adjusters are bombarded with bogus and inflated claims. As a former defense lawyer, I understand it's hard to persuade adjusters with lower speed impact cases.  However, what some insurance adjusters fail to realize is that every so often, a claim is legitimate.  Some folks injure more easily than others.  Some may have a pre-existing problem.  Sometimes, age is a factor.  

What troubles me the most is how myopic and conclusory some adjusters can be.  Sometimes I just want to ask them, "Well, if low property damage ALWAYS means little or no injury, then why are you involved at all?  Why don't you just resign and stay home?  Why don't they just use robots to do your job?"  Of course, there are also true insurance professionals out there who take into account all the facts before they jump to conclusions.  That's the kind of adjuster I usually hope to get on my cases, but I don't always get so lucky.

I truly feel I can make these assertions after working for a major insurance company as a defense lawyer for over 10 years.  I've seen both kinds of adjusters, and whether I'm working for plaintiff or defense, I appreciate adjusters who soak in ALL the information before making a decision.  Thank you for allowing me to rant today.  However, these are not only MY realities but also my client's realities.  My job is to educate them that there are adjusters who won't see matters any other way.  They will always analyze a case from within their paradigm.

If you need help with a personal injury case, please call (661) 414-7100 for a consultation.  If an adjuster is giving you a hard time and refuses to see things any other way, take comfort in knowing you are not alone.

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    by Robert Mansour

    Robert Mansour is a personal injury lawyer serving Santa Clarita, Valencia,
    Saugus, Canyon Country, Newhall, Stevenson Ranch, Castaic and surrounding
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